1. Weights in ZIMS for Medical What goes where and shows where when? 1

2. It’s all one world now! 2 Historically, ISIS offered ARKS for Animal Husbandry and Inventory and MedARKS for medical information. It is all one world now! Both Animal Husbandry and Medical are modules in ZIMS. Your Role will of course affect what you can View/Edit in both modules. And some information entered into the Medical module is viewable in the Animal Husbandry module.

3. Weights and Medical Roles A reminder on access- with regard to weights, ZIMS permits the entry of weights from both ZIMS for Medical and from the Animal Husbandry side. The application thinks of a weight added by the medical side as ‘linked’ to the action that it was created with- therefore it is not editable outside of the medical side. Why? Think about a prescription- if the weight that was used when administering the drug were to change, the treatment amount would need to be reassessed.

4. Weights 4 Animal Weights can be recorded in the Medical module. When performing an Anesthesia you can select between Use Last Weight or Record New Weight. This weight will display in the Weights Grid of the animal’s Record. When recording a treatment you have the option to Use Last Weight, Record New Weight or use No Weight. This weight will also display in the Weights Grid of the Animal’s record UNLESS the Estimate box is checked. An estimated treatment weight does not display in the animal record. Weights entered in the Medical module cannot be edited or deleted in the Animal Husbandry animal record. Currently there is no indication in the record that this weight was recorded in the Medical module.

5. ANY QUESTIONS? On how weights are entered and displayed in ZIMS? 5

6. Prescriptions and Anesthesia In ZIMS 6

7. Quick & Full Prescription There are two types of Prescriptions – Quick and Full. Quick is meant to be used for routine treatments and less information is gathered. Quick Prescriptions are usually used for one time treatments such as vaccinations or single dose de-worming. This is the type of prescription you would select for Batch entries. Quick is one and done. Full Prescription gathers more details on the treatment. Full Prescriptions are often administered over a time period such as antibiotics. You would select Full Prescription for Multiple prescription entries. Batch and Multiple Prescriptions are defined in the next slides. 7

8. Batch Prescription You are giving the same treatment to a set of individual animals One treatment record will be recorded for each animal Examples: – You vaccinated your Children’s Zoo goat herd – You gave your penguin colony anti-malarial treatment 8

9. Multiple ID Prescription Multiple animals are sharing the same dose Not all animals may receive the same amount of the dose Examples – You mixed de-worming medication into the grain that your gazelle herd shares – You added medication to the water of your shark tank 9

10. Add Quick Prescription If you are adding a Quick Prescription for a single animal you will select it on the right hand side as shown above. If you are adding a Quick Prescription for a Batch of animals checking the Batch Prescription checkbox will bring up fields where you can either select an Animal List, type in multiple identifiers, or use the lookup to find your animals. The Date Written and Start Date do not have to be the same but the Date Written cannot be after the Start Date. 10

11. Treatment Details The Treatment Item/Drug is sourced from the Treatment Dictionary. You can start typing in the name until it is recognized, or you can use the magnifying lookup to search for it. Although not a mandatory field, it is recommended to add the Delivery Route. This field will sometimes prefill dependent on what is selected in the Treatment Item/Drug box but it can be edited. 11

12. Dispensing & Administration Administered By will prefill with who is entered into the Dispensed By field but it is editable. Bottle Information is optional, but if you wish to use it and it has not yet been entered into your inventory you can select the Add New Bottle ID to add it. Once you Save the information will prefill. You can record an Expiration Date without recording a Bottle ID. 12

13. Dashboard Display The treatment will display in the dashboard. Because a Quick Prescription is not on-going it will automatically display with a red dot as an Inactive Prescription. It is important to note that should you chose to edit a Quick Prescription the Full Prescription screen is displayed for the editing. 13

14. Full Prescription Multiple Animals If you select to add a new Full Prescription when an animal medical record is in focus the GAN will prefill. If not you will need to enter an identifier or look for it. If you select Multiple Animal IDs (remember this is many animals sharing the same dose of the medication) the Select Animal IDs will display as 0 Animals Selected. Click on that field to activate the field to select your animals either from an Animal List, by typing identifier in or using the lookup functionality. 14

15. Full Prescription Multiple Animals The number of Animal IDs selected will display in the Select Animal IDs field. If any groups are selected then the Census count will display. The total number of animals the treatment is prescribed for will be automatically calculated. In the above example we have selected 5 individuals and one group with 8 members, so it is 6 Animal IDs and prescribed for a total number of 13 animals. You have the option to Record New Weight. However, in this example selecting the No Weight option would be appropriate. 15

16. Full Prescription for Individual As for a Quick Prescription the Date Written and the Start Date do not need to be the same date but the Date Written cannot be after the Start Date. For an individual you have the option to Use Last Weight, Record New Weight or select No Weight. The last weight is often sourced from what had been recorded in the R1 weight grid. If you select to Record New Weight that data will be copied into the R1 weight grid unless it is an estimated weight. 16

17. Treatment Detail There are two ways to record the treatment detail. One is to enter the information into the fields manually. Use the Notes/Comments section to record any information not gathered elsewhere or to provide additional details on the treatment. The second way is to use the Dose Calculator to assist with calculations. 17

18. Dose Calculator To calculate Dosage it requires valid information in both the Dose and Weight Fields. To calculate Dose it requires valid information in both the Dosage and the Weight fields. If you are maintaining the drug in your inventory you can Check Inventory and the hyperlink will take you to the drug inventory record. Check References is not functional in this release. Remember to Save this screen before moving on to the other tabs. 18

19. Dispensing The next tab allows you to record the Dispensing information. This allows tracking of who did the dispensing and who it was dispensed to. If the drug is not in your inventory and you wish to add it you can do so here. Recording this Dispensing information is not mandatory and will be used mainly for controlled substances that need to be more closely monitored. An example would be dispensing a specific number of oral Diazepam tablets to ensure bottle counts are correct. 19

20. Print Label An option under the Actions menu is to Print Label. You will select the type of label and then the location(s) for Printing. When you select Generate PDF to Print you will have the label for the drug container. 20

21. Administration You can track the success of administering the treatment using the Administration tab. Use the Notes box to record additional details. The administration records will display in the grid. Providing keepers with access to view/add/edit this screen will allow them to enter the details of administration directly into ZIMS. 21

22. Staff Instructions Use the Staff Instruction tab to provide detailed instructions to the staff for administration of the drug. The information in the blue box is sourced from the Prescription tab information and will prefill when you select the Generate Instructions button. Include any special restrictions, including any follow up observations required. The information in the green box is a free text entry. VERY IMPORTANT NOTE: If you are adding additional text to the instructions select the Generate Instructions first as doing so after will overwrite your free text entry. 22

23. Print Staff Instructions Selecting Print Staff Instructions will bring up a sheet with instructions and space for tracking the administration of the treatment. 23

24. Treatment Response The Treatment Response tab is to record the overall response to the treatment and any adverse effects displayed. Use of the Adverse Effects Note box is encouraged to record details. 24

25. Dashboard Display The treatment will display in the dashboard as Active (green button) during the dates recorded for the treatment. Once the treatment end date is passed the button will turn red (Inactive). 25

26. Terminating the Treatment Should you need to terminate the Treatment prior to the scheduled date, as for our animal that exhibited hives and labored breathing, select the Terminate tab above the lower pane. The screen allows you to record Details as to why the treatment was Terminated. You will be redirected to the Dispensing screen to edit those records if this screen has been completed for this prescription. The treatment will now display as Inactive in the Dashboard. 26

27. Treat Them Right! Using ZIMS 27